肝动脉出血血管造影诊断与栓塞(附十二例分析)

Angiography and Embolization of Hepatic Artery Hemorrhage; A Report of 12 Cases

对12例腹腔或胆道大出血(其中6例为外科手术后)患者作了腹腔动脉造影,明确了出血来自肝动脉,原因有:肝癌、外伤、肝动脉瘤。所有病例均作了经导管肝动脉明胶海绵或弹簧簧钢圈栓塞。栓寒后均有效止血,但2例术后休克仍无法纠正,12小时内死亡。讨论了动脉造影在腹腔、胆道出血时的意义。对肝动脉出血尤其外科手术后仍出血时,肝动脉栓塞术甚有价值。

12 patients including six postoperative with intraperitoneum or/and biliary duct massive bleeding were performed celiac arteriography that demonstrated hepatic artery hemorrhage and indicated the primary diseases to be HCC, pseudoaneurysm and trauma. 12 patients were treated with transcatheter gelfoam of coil embolization, hemorrhage was all controled but two died of multiple system organ failure.